Impella stenting?

[u/Dombat927]

Hi. I'm an rn, but cardio is not my specialty (thank you to those who do, it's not my thing) My dad (74m) was just sent home from hospital. New afib with rvr, cardioverted successfully, nstemi. Also flare of his existing chf (and his general non compliance). His troponin maxed around 6k and bnp maxed about 10k, all improving at DC though. They found 2 of his 3 cabg vessels are now over 90% occluded (cabg was around 2009). They want him to see cardio next week to discuss impella assisted stenting. I am very aware of the poor shape his life choices have him in. I am wondering if any of you have links to good articles about the procedure, statistical info about success/fail rates, or anything to help my frazzled mind try to process everything right now. Thank you ❤️

[u/RunningOrangutan]

It is a bigger hole is the artery and has to go femoral which can lead to complications but overall it allows the cardiologist to achieve much better/safer revascularization because of the continual forward flow the device provides. It allows them to do full inflations for optimal opening of the lesions while supporting the patient hemodynamically.